Pelvic Organ Prolapse - Surgery
Many times surgery is chosen when a vaginal pessary is either not desired or cannot be retained comfortably. There are several different surgical techniques which are effective. Often the choices offered to a women depends upon her anatomy, overall health, her prior surgeries and current medical conditions, her desire to retain sexual function and the experience and training of her surgeon. Deciding whether or not to have surgery for prolapse is an individual decision. The success or failure of someone else's operation should never be the deciding factor for you. Every woman's situation is different. There is no single operation that is right for every patient. You and your urogynecologist must decide on the best option together.
Be sure to engage in a detailed discussion with your urogynecologist that includes an evaluation of your overall health, lifestyle and activity goals (including sexual function) along with the risks of each procedure. This disucssion will help you to determine the best procedure for you.
Pelvic reconstructive surgery can be performed through an incision in the vagina, through an incision in the abdominal cavity, or through a series of small incisions in the abdomen through which the surgeon places a laparoscope and instruments. Most recently, it is even being performed with the assistance of a robot. The advantages and disadvantage of each of these approaches should be discussed with your urogynecologists.
The goal of all reconstructive pelvic floor procedures is to restore normal pelvic floor anatomy and give the patient her best chance at maintaining a normal quality of life including sexual intercourse if desired.
Mesh Information for Patients with Pelvic Floor Disorders
Original publication date: May, 2008; Updated, February 2012.